Individual
TRACY CARDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
39 WALLACE AVE, SO PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Mailing address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102-3100
(207) 662-5522
(207) 662-5527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1438
ME
Other
Enumeration date
06/07/2006
Last updated
06/03/2013
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